With the recent implementation of new HIPAA regulations in the HIPAA Omnibus Update of 2013, healthcare organizations are reviewing their compliance and making sure they have the proper policies, procedures, and forms in place. HIPAA Security Officers have been renewing their compliance activities and reviewing their documentation to make sure they can meet the challenges of the new rules and avoid breaches and penalties for compliance violations.

This seminar is designed to provide intensive, two-day training in HIPAA Security and Breach Notification Rule compliance, including:

What’s new in the regulations?

What’s changed recently?

What needs to be addressed for compliance by covered entities and business associates?

What are the most important security issues?

What needs to be done for HIPAA compliance?

What can happen when compliance is not adequate?

This session will also explain HIPAA Security safeguards and the role of risk analysis in effectively evaluating and implementing Security Rule compliance. Audits and enforcement will be explained, as well as security breaches and how to prevent them. Numerous references and sample documents will be provided.

Day one sets the stage with an overview of the HIPAA regulations and then continues with presentation of the specifics of Breach Notification, the Security Rule, recommended policies and procedures, how to be prepared for HIPAA audits, and principles and methods of risk analysis for Security Rule and Breach Notification compliance.

Overview of HIPAA Regulations

The Origins and Purposes of HIPAA

Privacy Rule History and Objectives

Security Rule History and Objectives

Breach Notification Requirements, Benefits, and Results

HIPAA Security Rule Principles

General Rules and Flexibility Provisions

The Role of Risk Analysis

Security Safeguards

Training and Documentation

HIPAA Security Policies and Procedures and Audits

HIPAA Security Policy Framework

Sample Security Policy Content

Recommended Level of Detail for Policies and Procedures

The New HIPAA Compliance Audit Protocol

Risk Analysis for Security and Breach Notification

Principles of Risk Analysis for Information Security

Analyzing Risks for Determination of Breach Notification

Risk Analysis Methods

Risk Analysis Example

Day 02(8:30 AM - 12:30 PM)

Day two begins with a discussion of typical security issues and means for avoiding breaches and meeting compliance requirements when it comes to modern technologies, such as texting, e-mail, and social media. Finally, the day concludes with a session on the essential activities of documenting policies, procedures, and activities, training staff and managers in the issues and policies they need to know about, and examining compliance readiness through drills and self-audits.

Jim Sheldon-Dean is the founder and director of compliance services at Lewis Creek Systems, LLC, a Vermont-based consulting firm founded in 1982, providing information privacy and security regulatory compliance services to a wide variety of health care entities.

Mr. Sheldon-Dean serves on the HIMSS Information Systems Security Workgroup, has co-chaired the Workgroup for Electronic Data Interchange Privacy and Security Workgroup, and is a recipient of the WEDI 2011 Award of Merit. He is a frequent speaker regarding HIPAA and information privacy and security compliance issues at seminars and conferences, including speaking engagements at numerous regional and national healthcare association conferences and conventions and the annual NIST/OCR HIPAA Security Conference in Washington, D.C.

He has more than 30 years of experience in policy analysis and implementation, business process analysis, information systems and software development. His experience includes leading the development of health care related Web sites; award-winning, best-selling commercial utility software; and mission-critical, fault-tolerant communications satellite control systems. In addition, he has eight years of experience doing hands-on medical work as a Vermont certified volunteer emergency medical technician. He received his B.S. degree, summa cum laude, from the University of Vermont and his master’s degree from the Massachusetts Institute of Technology.

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